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Flashcards in PE of the newborn Deck (19):
1

Physical criteria of Ballard score

  • Breast bud
  • Plantar surface
  • Lanugo/hair
  • Ear/eye
  • Skin

 

Memory aid:

  • Breast and genitals PLEaS

2

Neuromuscular criteria

  • Square window
  • Posture
  • Arm recoil
  • Scarf sign
  • Popliteal angle
  • Heel to ear

3

Skin appearance in extremely premature

Almost gelatinous and translucent

4

Mongolian spots

  • Description
  • Common in
  • Usual site
  • How to differentiate with child abuse bruises

  • Description
    • flat, blue-gray with well-defined margins
  • Common in
    • dark-skinned races
  • Usual site
    • sacral area, over buttocks and back
  • How to differentiate with child abuse bruises
    • bruises have different colors
    • bruises fade into surrounding skin

5

Erythema toxicum

  • Description
  • Histopath
  • Persists for
  • Usual site

  • Description
    • Eruption is characterized by small, erythematous papules, vesicles, and, occasionally, pustules
    • Usually surrounded by a distinctive diffuse, blotchy, erythematous halo
  • Histopath
    • Filled with eosinophils
  • Persists for
    • As long as 1 week
  • Usual site
    • Face, trunk and extremities

6

Milia

  • Description
  • Usual site

  • Description
    • Small inclusion cyst
  • Usual site
    • Face

7

Lesion, description and cause

Q image thumb

  • Cutis marmorata
    • Lacy pattern on the skin similar to cobblestone
    • Vasomotor response to cold stress

8

"Flea-bitten” appearance of skin

Erythema toxicum

9

Typically consists of closed comedones on the forehead, nose, and cheeks

Neonatal acne

10

____ are vesiculopustular rashes that occurs in 5 percent of black newborns, but in less than 1 percent of white newborns and in contrast with erythema toxicum neonatorum, the lesions of ____ lack surrounding erythema

Transient neonatal pustular melanosis

11

Transient neonatal pustular melanosis

  • Histopath
    • Polymorphic neutrophils
  • Unique finding
    • Pigmented macules within the vesicopustules are unique to this condition; these macules do not occur in any of the infectious rashes

A image thumb
12

Consists of erythema of the dependent side of the body with simultaneous blanching of the contralateral sid

Harlequin color change

13

  • ____ are birthmarks are caused by expansions (dilations) in the capillaries
  • When it occurs on the face, it is often called ____
  • When it occurs on the back of the neck, it is known as ____

  • Salmon patch
  • An angel kiss
  • A stork bite

14

Salmon patches are different from port-wine stains in that salmon patches ____

Do not grow larger or darker and are not associated with any syndromes involving the brain or development

 

Note: In the past, port-wine stains and salmon patches were considered to be variations of the same kind of birthmark, but now it is now known that port-wine stains are truly malformations of capillaries and will never improve on their own, while salmon patches are temporary dilatations (expansions) of capillaries that do typically improve on their own

15

Capillary hemangioma is a ____ — an abnormal, localized proliferation of vascular endothelial cells

Hamartoma

16

Also known as strawberry hemangioma

Capillary hemangiona

17

T/F. Mottling is harmless

False; it is associated with general circulatory instability or serious illness

18

Post-mature infants tend to have ____ [less/more] pale skin than term or premature infants

Paler

19

Fate of strawberry hemangioma

Initially grows and then spontaneously regresses by a few years of age